Accident Report Detail

Accident Summary Nr: 170841399 - Employee injured in fall from formwork wall

Accident Summary Nr: 170841399 -- Report ID: 0950615 -- Event Date: 08/15/2000
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
125616193	08/16/2000	1521	0	Hollern Construction, Inc.

Abstract: Employee #1 and coworkers were using a concrete pump with a 3 in. diameter hose to pour concrete into a retaining wall at a single-family home under construction. They were working in shifts, back and forth across the top of the formwork wall. One coworker was carrying the nozzle of the hose, with Employee #1 approximately 10 ft behind him; another coworker was 10 ft behind Employee #1, walking on an earthen bank. Employee #1 fell 16 ft from the top of the form onto a concrete slab, landing on his back and striking his head on the pump hose. He was hospitalized for fractured vertebrae and a concussion. The work platform was not 20 in. wide and no scaffold was provided.

Keywords: CONCRETE FORM WORK, FRACTURE, HEAD, WORK RULES, CONSTRUCTION, BACK, FALL, CONCUSSION, ELEVATED WORK PLAT, VERTEBRA

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition		Under $50,000	1	16

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	125616193			Hospitalized injury	Concussion	Carpenters	Distance of Fall: feet Worker Height Above Ground/Floor: 1 feet Cause: Pouring concrete foundations and walls Fatality Cause: Fall from/with scaffold

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.